20171209 Albrecht.pdf17120901
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12XVN0C Wisconsin Motor Vehicle
Crash Report
Secondary
CrashAmendedCrash Type
DT4000 (Standard Crash)Reportable
TagsSchool Bus Related
NoActive School ZoneGovernment
Property
Trailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
00
Total Units
01
Time Notified
06:20 AM
Date Notified
12/09/2017
Time Arrived
06:36 AM
Date Arrived
12/09/2017
Crash Time
05:30 AM
Crash Date
12/09/2017
Investigating Officer/Deputy
DEPUTY KEVIN GILLIS
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
2
X
V
N
0
C
Additional InformationNone, Reconstruction
Photos By
Reconstruction BySAWYER COUNTY SHERIFFDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
VEHICLE WAS TRAVELING WEST ON CTH B IN THE TOWNSHIP OF WINTER, WHEN THE VEHICLE ATTEMPTED TO NEGOTIATE A CURVE AND WENT INTO THE SOUTHBOUND DITCH AND ROLLED. THE VEHICLE CAME TO REST ON THE DRIVER SIDE. IT WAS SNOWING AND THE ROADS WERE SNOW
COVERED AND SLIPPERY. DRIVER OF THE VEHICLE WAS JAMES H. ALBRECHT.
Crash Time 05:30 AM
Crash Date 12/09/2017Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
17120901
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12XVN0C Wisconsin Motor Vehicle
Crash Report
Structure Type
Y Coordinate
5090577.5
X Coordinate
189231.15625
Longitude
-91.006205895
Latitude
45.89849011
ON CTHB
1.01 MI E
OF BARKER LAKE RD
IN THE TOWN OF WINTER
IN SAWYER COUNTY
Location
Special StudyAccess Control
Partial Control
Tribal Land
Crash Classification - Jurisdiction
No Special Jurisdiction
Crash Classification - Location
Public Property
Relation To Trafficway
Trafficway - On Road
Animal Type
Weather Condition(s)
Snow
Environment Factor(s)
Weather Conditions
Roadway Factor(s)
Road Surface Condition (Wet, Icy, Snow, Slush, Etc)
Road Surface Condition(s)
Snow, Slush, Ice
Light Condition
Dark/Unlit
Manner of Collision
No Collision W/Vehicle In Transport
First Harmful Event Location
On Roadway
First Harmful Event
Ditch
Crash Scene
Intersection Type
Not an Intersection
Junction Location
Non-Junction
Within Interchange Area
NO
Reporting Threshold
No
Truck Bus or HazMat
No
Road Grade
Level
Road Curvature
Curve Left
Surface Type
Blacktop (Bituminous)
Traffic Control Inoperative/Missing
NO
Traffic Control
No Control
Traffic Way
Divided Hwy W/O Traffic Barrier
Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Ditch
Total Lanes
2
Speed Limit
55Pre CrashTire
Mark
Direction Of Travel
Westbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
Utility Truck/Pickup Truck
Unit Type
Truck
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
01
Unit Summary
Extent Of Damage
Disabling Damage
Vehicle Damage
2--Right Side Front, 3--Right Side Middle, 4--Right Side Rear, 5--Right Rear
Corner, 8--Left Side Rear, 9--Left Side Middle, 10--Left Side Front
Initial Contact Point
3--Right Side Middle
Bus UseNot A BusBody Style
PK - PICKUP
Color
RED - Red
Model
RANGER
Year
2000
Make
FORD
Vehicle Identification Number
9034
Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - Light Truck
License Plate Number
NN5018
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 05:30 AM
Crash Date 12/09/2017Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
17120901
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12XVN0C Wisconsin Motor Vehicle
Crash Report
Driver DistractionsNot Distracted
Driver Actions
No Contributing Action
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Negotiating Curve
Vehicle Removed ByTowed Due To Damage
Towed Due To Disabling Damage
VE
H
I
C
L
E
UN
I
T
01
Address
WINTER, WI 54896 , US
IndividualJAMES H ALBRECHT01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
EventDitch02
EventOverturn/Rollover03
Event
04
Individual
JAMES ALBRECHT
Insurance Company
PROGRESSIVE-CLASSIC-INS-CO
Policy Holder
UN
I
T
Crash Time 05:30 AM
Crash Date 12/09/2017Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
17120901
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12XVN0C Wisconsin Motor Vehicle
Crash Report
Individual Condition
Appeared Normal, Not Observed
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
Action Other
IN
D
I
V
I
D
U
A
L
UN
I
T
Action
To/From SchoolLocationPrior ActionStriking Unit #
00
1
01
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
Not Transported
Trapped/Extricated
Not Trapped
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Ejected
Airbag
Non Deployed
Injury Severity
No Apparent Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--Front Seat-Left Side (Driver/Motorcycle/Bicycl
00
1
Safety Equipment
Restraint Use Unknown
On Duty Crash
01
ber
State: Wisconsin Country: UNITED STATES
Address
WINTER, WI 54896 , US
RaceWHITEDate of Birth
08/07/
Sex
Male
Citations Issued
0
DriverJAMES H ALBRECHT
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Address
, ,
Unknown
PR
O
P
OW
N
E
R
01
Property Owner
Fixed Objects Struck
Crash Time 05:30 AM
Crash Date 12/09/2017Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
17120901
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12XVN0C Wisconsin Motor Vehicle
Crash Report
Damage Tag NumberStruck Object
Ditch
Striking Unit
0101
Crash Time 05:30 AM
Crash Date 12/09/2017Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.